Childhood Diseases

Posted by: Cindy | 2013-02-18



I would like your help again. I am using telfast and continuing with 20g Advantan for her skin. I am also using Similac Alimentum. She is still not sleeping. She sleeps at 8 then from midnight wakes up every hour and usually wants to feed before she keeps quiet. During the day she only sleeps 30min in the morning and 30min in the afternoon. I breast feed at night and she seems to always wake up with new bout of the rash. During the day it tends to clear. She has rice cereal in the morning and in the evening. I have even changed it to organic. She seems to be allergic to the puree jar of food(purity ) the only one she tolerates is pumpkin.

On a good day she gets 6hrs of sleep per 24hrs. She is gaining weight well. Weight 8kg at 20weeks. I think she is developing but not as fast as I would love her to. can roll on both sides, sits but you have to support, lifts head(push up), grabs at things including food on a plate. She can’ t say “ mama”  yet and she is not eating her foot just yet.

I feel if she slept more she can develop better. Do you have any advice regarding her sleeping. I understand the eczema contributes.

Expert's Reply



The average weight for a baby girl of 20 weeks is 6.25kg. Your baby's weight is in the top 9% of baby girls of her age. This is remarkable considering her eczema and the formula changes she has experienced. Her development is above average for her age. Most children only sit unsupported at the age of 6 months. Her language development is also above average for a baby who is not 5 months old yet.She should only eat the 'safe' foods and fruit at this stage: sweet potato, pumpkin, butternut, rice, apples and pears.
I am concerned about her lack of sleep and with her eczema treatment. Advantan is a medium potency steroid ointment and cannot be used continuously in a young baby.Eczema and especially the itching associated with it certainly will keep babies from sleeping.Has your baby had allergy tests to find out what she is allergic to? While breastfeeding it would help to avoid drinking milk and eating eggs and peanuts.You will need to take a calcium supplement while you are not drinking milk.
Babies with eczema are very heat intolerant, so keep your baby cool at all times and only dress her in cotton clothing. Her bedroom must be well ventilated and not too warm. After bathing her [in luke warm water] and using Epizone E as a soap substitute, moisturise her with Epimax cream. Reserve the Advantan for use on difficult areas of her rash and always avoid using it on her face and neck.Try not to use the Advantan more than twice per week.
It would really help to settle your baby if you used the 'wet wraps' technique at night. You will find information about this on Google or you can email Sister Sheila Baker of the UCT Allergy Unit for advice about this technique. Also change the antihistamine from Telfast to Allecet 2.5ml at night.

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user comments


Posted by: Cindy | 2013-02-18

Could you please refer me to someone who can assist. I hate seeing her skin that way. right now it not oozing or anything but feels dry(sand paper) . i suffered from eczema from 9yrs to my twenties. i dont want to see her go through steroids. i have seen the side effects. I was going to buy exotopic probiotic to see how well she fairs on it.

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